Realizing the promise of Web 2.0: engaging community intelligence.
Realizing the promise of Web 2.0: engaging community intelligence.
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DOI：
10.1080/10810730.2011.589882
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发表时间：
2011
影响因子：
4.4
通讯作者：
Rutten LJ
中科院分区：
文献类型：
--
作者：
Hesse BW;O'Connell M;Augustson EM;Chou WY;Shaikh AR;Rutten LJ
2005年首次提出的“健康2.0”的讨论以三个主要原则为指导：(A)健康将变得更加参与性，因为网络的发展鼓励消费者更直接地参与自己的医疗保健；(B)数据将成为支持健康“关键决策”的系统的新“Intel Inside”；以及(C)来自网络的“集体智慧”意识将在健康决策中补充传统的知识来源。国家癌症研究所的健康信息全国趋势调查(HINTS)等调查结果引发了人们对理解新范式对患者参与健康和医疗保健的影响的兴趣，这些调查结果显示，患者很快就会在网上寻找帮助他们应对疾病的信息。本文考虑了如何利用健康2.0的这三个方面--参与、数据和集体智慧--来根据健康人2020年的目标来改善国家的健康状况。我们首先研究来自行为科学的证据，以了解在通信技术不断变化的时代，Web 2.0参与性技术可能如何影响患者的过程和结果，无论是好是坏。然后，本文特别关注“健康2.0”的临床影响，并提出建议，以确保沟通环境的变化不会损害国家(例如，健康人2020)的健康目标。临床环境的变化，如卫生信息技术促进经济和临床卫生(HITECH)法案的催化，以循证方式利用卫生2.0原则，也被考虑在内。
Discussions of “Health 2.0,” first coined in 2005, were guided by three main tenets: (a) health was to become more participatory, as an evolution in the Web encouraged more direct consumer engagement in their own healthcare; (b) data was to become the new “Intel Inside” for systems supporting the “vital decisions” in health; and (c) a sense of “collective intelligence” from the network would supplement traditional sources of knowledge in health decision-making. Interests in understanding the implications of a new paradigm for patient engagement in health and healthcare were kindled by findings from surveys such as the National Cancer Institute’s Health Information National Trends Survey (HINTS), showing that patients were quick to look online for information to help them cope with disease. This paper considers how these three facets of Health 2.0–participation, data, and collective intelligence–can be harnessed to improve the health of the nation according to Healthy People 2020 goals. We begin with an examination of evidence from behavioral science to understand how Web 2.0 participative technologies may influence patient processes and outcomes, better or worse, in an era of changing communication technologies. The paper then focuses specifically on the clinical implications of “Health 2.0” and offers recommendations to ensure that changes in the communication environment do not detract from national (e.g., Health People 2020) health goals. Changes in the clinical environment, as catalyzed by the Health Information Technology for Economic and Clinical Health (HITECH) Act to take advantage of Health 2.0 principles in evidence-based ways, are also considered.
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